Provider Demographics
NPI:1114782216
Name:MORALES-STUDNICKA, RAQUEL (CSFA)
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:
Last Name:MORALES-STUDNICKA
Suffix:
Gender:F
Credentials:CSFA
Other - Prefix:
Other - First Name:RAQUEL
Other - Middle Name:
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:160 FIELDSTONE FARMS DR
Mailing Address - Street 2:
Mailing Address - City:SENOIA
Mailing Address - State:GA
Mailing Address - Zip Code:30276-6713
Mailing Address - Country:US
Mailing Address - Phone:708-514-1788
Mailing Address - Fax:
Practice Address - Street 1:160 FIELDSTONE FARMS DR
Practice Address - Street 2:
Practice Address - City:SENOIA
Practice Address - State:GA
Practice Address - Zip Code:30276-6713
Practice Address - Country:US
Practice Address - Phone:708-514-1788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant